Birth outcomes for teenage women in New South Wales, 1998–2003

Robson, Stephen; Cameron, Carolyn A.; Roberts, Christine L.

doi:10.1111/j.1479-828x.2006.00597.x

Cited by 31 publications

(56 citation statements)

References 10 publications

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“…Because the hypothesized effect of segregation is mediated through many socioeconomic and behavioral processes, distinguishing between a variable that confounds the association and one that is a mediator is by no means simple. Increasingly, studies of the past few years have explicitly stated the underlying conceptual model tested and have discussed conditioning and interacting effects of individual and neighborhood variables with segregation (28, 29, 37, 69, 102, 107, 120, 130, 134–139, 141, 142, 149). …”

Section: Segregation-health Associationsmentioning

confidence: 99%

Is Segregation Bad for Your Health?

Kramer

Hogue²

2009

Epidemiologic Reviews

387

397

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For decades, racial residential segregation has been observed to vary with health outcomes for African Americans, although only recently has interest increased in the public health literature. Utilizing a systematic review of the health and social science literature, the authors consider the segregation-health association through the lens of 4 questions of interest to epidemiologists: How is segregation best measured? Is the segregation-health association socially or biologically plausible? What evidence is there of segregation-health associations? Is segregation a modifiable risk factor? Thirty-nine identified studies test an association between segregation and health outcomes. The health effects of segregation are relatively consistent, but complex. Isolation segregation is associated with poor pregnancy outcomes and increased mortality for blacks, but several studies report health-protective effects of living in clustered black neighborhoods net of social and economic isolation. The majority of reviewed studies are cross-sectional and use coarse measures of segregation. Future work should extend recent developments in measuring and conceptualizing segregation in a multilevel framework, build upon the findings and challenges in the neighborhood-effects literature, and utilize longitudinal data sources to illuminate opportunities for public health action to reduce racial disparities in disease.

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Section: Segregation-health Associationsmentioning

confidence: 99%

Is Segregation Bad for Your Health?

Kramer

Hogue²

2009

Epidemiologic Reviews

387

397

View full text Add to dashboard Cite

show abstract

“…Although some studies have examined individual and interpersonal risk factors for adverse birth outcomes among adolescents, little is known about contextual contributors to birth outcomes in this group (10, 14–17). Neighborhood demographic characteristics (especially socioeconomic disadvantage and racial concentration) have been linked with adolescent behaviors including early sexual initiation, substance use, and delinquency (18–20).…”

Section: Introductionmentioning

confidence: 99%

Neighborhood Disadvantage, Racial Concentration and the Birthweight of Infants Born to Adolescent Mothers

Madkour

Harville

Xie

2013

Matern Child Health J

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Objective To study the relationship between neighborhood demographic characteristics (disadvantage, racial concentration) and the birthweight of infants born to adolescent mothers, potentially as mediated by smoking, prenatal care use, or perceptions of neighborhood safety. Methods Data from Waves I and IV of the National Longitudinal Survey of Adolescent Health were analyzed. Birthweight (continuous) and low birthweight (<2.5 kg) of singleton infants born to non-Hispanic Black and non-Hispanic White adolescent mothers (<20 years) after Wave I were examined as outcomes. Neighborhood demographic characteristics included Census Block Group socioeconomic disadvantage and Black racial concentration. Possible mediators (smoking during pregnancy, early initiation of prenatal care, and perceptions of safety) were also examined. Controls for adolescent baseline age, age at pregnancy, body mass index (BMI) and parental education were included. Analyses were run stratified on race. Results Baseline continuous birthweight, BMI and neighborhood demographics varied significantly between non-Hispanic Black and White adolescent mothers, with Black adolescent mothers evidencing lower birthweight and higher BMI, neighborhood disadvantage and Black racial concentration. In multivariable analyses among Black adolescent mothers, Black racial concentration was positively associated with birthweight, and negatively associated with low birthweight; no mediators were supported. Neighborhood disadvantage and Black racial concentration were unassociated with birthweight outcomes among White adolescent mothers. Conclusions Infants born to Black adolescent mothers evidenced higher birthweight with increasing Black neighborhood concentration. Further exploration of mechanisms by which Black racial concentration may positively impact birthweight is warranted.

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“…2 Little is known about predictors of birth outcomes within the group of adolescents who do get pregnant, beyond some basic predictors such as age, body mass index (BMI), nulliparity, and smoking. 3, 4 However, family influences are likely to be important. For the most part, adolescents who get pregnant still live with their parents, and are likely to be dependent on them for financial and health care resources, as well as emotional support.…”

mentioning

confidence: 99%

Parent-child Relationships, Parental Attitudes towards Sex, and Birth Outcomes among Adolescents

Harville

Madkour

Xie

2014

Journal of Pediatric and Adolescent Gynecology

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Study objective To examine how parent-child relationships, parental control, and parental attitudes towards sex were related to pregnancy outcomes among adolescent mothers. Design Prospective cohort study. Parental report of relationship satisfaction, disapproval of adolescent having sex, discussion around sexual health, and sexual communication attitudes, and adolescent report of relationship satisfaction, parental control, and parental disapproval of sex were examined as predictors of self-reported birth outcomes. Weighted multivariable linear regression models were run incorporating interactions by race. Setting United States Participants 632 females who participated in Waves I and IV of the National Longitudinal Study of Adolescent Health (Add Health), a nationally-representative sample of students enrolled in grades 7–12 in 1994–95 and followed up in 2007–2008 Main Outcome Measures birthweight and gestational age Results For Black adolescents, better parent-child relationship was associated with higher birthweight (0.14 kg, p<0.05) and gestational age (0.75 weeks, p<0.01), while higher parental disapproval of having sex (adjusted beta 0.15 kg, p<0.05) were associated with higher birthweight. For non-Black adolescents, a moderate amount of discussion of birth control was associated with higher birthweight (0.19 kg, p<0.01 and lower child-perceived parental disapproval of having sex was associated with higher birthweight (0.08 kg, p<0.05) and gestational age (0.37 weeks, p<0.05). Higher parental control was associated with a reduced likelihood of smoking during pregnancy and a greater likelihood of early prenatal care. Conclusion Parent-child relationships and attitudes about sex affect outcomes of pregnant adolescents.

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Birth outcomes for teenage women in New South Wales, 1998–2003

Abstract: Teenagers living in remote areas of NSW face a higher risk of adverse pregnancy outcomes than their urban cousins.

Cited by 31 publications

References 10 publications

Is Segregation Bad for Your Health?

Is Segregation Bad for Your Health?

Neighborhood Disadvantage, Racial Concentration and the Birthweight of Infants Born to Adolescent Mothers

Parent-child Relationships, Parental Attitudes towards Sex, and Birth Outcomes among Adolescents

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